Individual provider Active NPI

Rahsaan Friend, D.O

  • Gastroenterology Physician
  • Wooster, OH
National Provider Identifier
1275730657
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34.014556 Issued in OH
Practice address
1761 Beall Ave Ste 3B
Wooster, OH 44691-2342
Phone
(302) 025-6763
Fax
(330) 202-5677
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 305039 NY
Gastroenterology Physician 207RG0100X 34.014556 OH Primary

Addresses

Primary practice location

1761 Beall Ave Ste 3B
Wooster, OH 44691-2342

Mailing address

1761 Beall Ave
Wooster, OH 44691-2342
Phone (330) 263-8428

Other practice location 1

301 Genesee St Ste A
Oneida, NY 13421-2644
Phone (315) 361-2385

Other identifiers 2

IdentifierTypeStateIssuer
0440634MedicaidOH
H784780OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210601002107 OH Practitioner - Gastroenterology 2769623701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Philadelphia College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomington Medical Services LLCGroup PAC ID 9032297627, 106 clinicians

Practice addresses (Care Compare)

1761 Beall Ave
Wooster, OH 44691-2342

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
59.24
Promoting interoperability
99
Improvement activities
40
Cost
78.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy175
Upper gastrointestinal (GI) endoscopy for acid reflux294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
305039NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Medical Services LLC Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
CGH Medical Center Past Accepting new patients

Locations

1761 Beall Ave
Ste H105
Wooster, OH 44691
Phone (330) 202-5710

1761 Beall Ave
Ste 3B
Wooster, OH 44691
Phone (330) 202-5676

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

Interoperability endpoints

  • Direct secure messaging: rahsaan.friend@bloomingtonmedical.medicity.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1275730657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "330-263-8428",
            "fax_number": "330-263-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE STE 3B",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "302-025-6763",
            "fax_number": "330-202-5677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Genesee St Ste A",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "NY",
            "postal_code": "134212644",
            "country_code": "US",
            "telephone_number": "315-361-2385",
            "fax_number": "315-361-2386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEND",
        "first_name": "RAHSAAN",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "305039",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "34.014556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440634",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H784780",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.